Dr Mayorquin Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA08638600 Issued in NJ

Legal business name

DR MAYORQUIN CORPORATION

Practice address

377 Jersey Ave
Suite 470
Jersey City, NJ 07302-4393

Phone

(201) 918-2239

Fax

(201) 918-2243

NPI assigned

Feb 14, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bertha Mayorquin, M.D.

Title

Owner/President

Phone

(551) 697-3696

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1467725978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3550",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073033550",
            "telephone_number": "201-918-2239",
            "fax_number": "201-918-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 JERSEY AVE",
            "address_2": "SUITE 470",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073024393",
            "telephone_number": "201-918-2239",
            "fax_number": "201-918-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MAYORQUIN CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-14",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "MAYORQUIN",
        "authorized_official_first_name": "BERTHA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "551-697-3696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA08638600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr Jayaram MD PC
• Dr John Kims Medical Office PC
• Dr M David Isaak Dental Group
• Dr Mangia Associataes PC
• Dr Mangia Associates PC
• Dr Samuel Mapp General Surgeon LLC
• Dr. Dungo Associates, P.C.
• Dr. Lena Edwards Academic Charter School
• Dr. Lena Edwards Academic Charter School
• Dr. Pizarro Associates, PC

• Family Medicine Physician in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.